Blaming a non-medicated schizophrenic for acting crazy is like blaming a person with heart disease for having a heart attack or an epileptic for having a seizure. Granted the latter two don't kill people when their diseases manifest themselves but the point remains.
I don't think he's a monster - he's a very very sick man who at the time was living in a reality which was 'normal' to him; regardless of how insane that sounds to us.
All this being said - if he knew he was a risk for violence and went off his meds, he should be held accountable for letting himself get into that state - same as a person letting them self get so drunk they drive and kill someone. Regardless though - the past has been written and he should be subjected to mandatory meds for the rest of his life - daily reports to a P.O. or doctor who administers his medication I.M. so there is no doubt. He misses an appointment - he's arrested and stripped of his freedom.
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